Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207Q00000X | Family Doctor | 0101258703 | VA |
N | 207QA0505X | Family Doctor - Adult Medicine | 0101258703 | VA |
NPI | 1003226127 |
---|---|
Provider Name | Sarah Elizabeth Plyler |
First Address | Beaufort, SC 29902-6122 |
Second Address | Beaufort, SC 29902 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/04/2014 |
Last Update Date | 27/10/2021 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
VAD0000 | (02) |